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Home My WebLink About28306-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPD~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28632 Date: 07/26/02 TI{IS u~TIFIBS that the building ADDITION Location of Property: 1480 CEDARFIELDS DR GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 40 Block 5 Lot 1.36 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 19, 2002 pursuant to which Building Permit No. 28306-Z dated APRIL 22, 2002 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ROOF OVER EXISTING FRONT STOOP & A WOOD LANDING ~3DDITION OVER CONCRETE STOOP OF EXISTING SINGLE F~_MILY DWELLING AS APPLIED FOR. Tg/e certificate is issued to HOPE TUTHILL of the aforesaid building. (OWNER) SUFFOLK COUIF~YDEPARTMENTOFf{E~LTI~APPROVAL EI4~-rRICAL C~TIFICATE NO. PLDq~BERS CERTIFICATION DA'r~O Rev. 1/81 N/A N/A N/A Authorized Sig~ur~ FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28306 Z Date APRIL 22, 2002 Permission is hereby granted to: LOUIS D'AINGELO (tO~%;~l~ 1025 MEDFORD AVE FARMINGVILLE,NY 11738 for : CONSTRUCTION OF A ROOF OVER AN EXISTING FRONT STOOP AND A WOOD LANDING OVER AN EXISTING CONCRETE STOOP AS APPLIED FOR at premises located at 1480 CEDARFIELDS DR GREENPORT County Tax Map No. 473889 Section 040 Block 0005 Lot No. 001.036 pursuant to application dated APRIL 19, 2002 and approved by the Building Inspector. Fee $ 150.00 COPY Rev. 2/19/98 Form No 6 ~C~ vow OF soi;TUOLU ' IL~W~ HALL 765-18oz APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building D~Pa~tlrl6nt'with the fo'iloting.: A. For new building or new use: 1. Final survey of property with accurate location of all ufl&ngs, property lines,, streets, and unusufil natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 .f~rr~_ ~ 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. Bo For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swinmfing pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Prc-cxisting Building - $100.00 3. Copy of Certificate of Occupancy- $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: Location of Property: House No. Owner or Owners of Property: ~~ Suffolk County Tax Map No 1000, Section Subdivision Street Permit No. "~_.Co/~ 0/~2:Z Date of Permit. Health Dept. Approval: Block ~ Lot Filed Map. Lot: O ~-- Applicant: ~ it,,.:, ~c)'T'~_ Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~ ~-~ Final Certificate: ~'~- (check one) Apphcant Signature 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FO~iDATION 2ND [ ] INSULATION [/,,~/FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: '~/~/ DATE 765-t~02 BUILDING DEPT. [ ] FOUNDATION 1ST [ ] ROUGH PL_BG. [ ] FOUNDATION 2ND [ i. INSU~N [ ] FRAMING [ ,~.~qNAL [ ] FIREPLACE & CHIMNEY DATE~ INSPECTION )~'I~:"r)INSPECTIONREPORTI DATE I COIV[M~N'rs FOUNDATION (1ST) - FOUNDATION (2ND) ROUGH FRAMING & I~$ULATION PER N. Y. STA~ ENERGy CODE 0 'oN osuooH s,opm& zoqlo 'oN osuooFI · oN osuooH sJ~qumld · ON osuooVl s~opi.m~t 0oogjo olmodaoo go *II.tl ptm oumN) ~ol3JO pozljoqlrm ~[np jo ,xmm~.ts 'uo.tlmochoo, s.t ltmo.tidd~ JI (IX~p lsol~I .to [io:t x~ ,tll uo sV) Jopi!nq ~o zoqumld 'tm!o.moolo "rolomluoo l?.~uo~ '~otr~uo 'lool.nioxe 'luog~ 'oossoI 'zou~o s! lueo[idde XOtlloqat olmS &II4I}I~I Dhlltlqlfllt }lOci NOI£VDVI~kIV tmoel o.~doS Oil ' uo[ll~.r[dxff &IIAIlt~td -7~--0 i[· ~ 'OE ' //e poAozdd~s!G poAo-~ddv pou[m~x~t Z0~;6-~9£ ([E9) :XVA Z0gI-$9L (1~9) IL6II AN 'ITIOH&flOS ~Iq'VH NflAO& ,LN:tlAIL}IVd~III OlqItl'-IIFIH OrlOH£flOS dO NTA~O~L -'~Estimated Cost~ ~::>"L9 5. If dwelling, number of dwelling units If garage, number of cars State existing use and occupancy ofpretrl/.s.es and intended use and occuvanc of ' ~ ~.' Existing use and occupancy~ - Y proposed construction:' . ~Y~J Intended use and occupancy~~~...~..~ Nature of work (check which applicable): New Building. Addition Alteration ~ Repair Removal Demolition_ Other Work Fee (Description) (To be paid on filing this application) Number of dwelling units on each floor If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front Rear Depth Height. Number of Stories Dimensions of same structure with alterations or additions: Front Depth Height. Number of Stories l 0. Date of Purchase Dimensions of entire new construction: Front Height Number of Stodes Size o£lot: Front Rear Rear Depth Depth Rear Name of Former Owner 1. Zone or use district in which premises are situated 2. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 4. N~es of O~ ofpr~ses~+~ ~p ~dpes~y~ ~~~he No~a~ VV~~ N~e of ~chte~ Nme of Con~act~ ~ ' Ad.ess v. / [ R 6~, - " ~ ~u~e~,~ c)~ ~ Phone No~ 5 a. Is tbs prop~ M~ 100 f~ °fa fid~ wefl~d or a ~eshwat~ wetl~d? *~S, NO * ~ YES, SOUTHOLD TO~ ~USTEES & D.E.C. PE~S ~y BE ~QU~D. b. Is t~s prop~ ~ 300 fe~ ora fid~ wet,d? * ~S NO ~ ~ YES, D.E.C. PE~S ~y BE ~QU~ED. -' - 5. Provide s~ey, to sc~e, ~ acc~te fo~dafion pl~ ~d ~st~s to prop~ l~es. r. If elevation at ~y ~t on prop~ is at 10 f~ or below, m~t pro,de topo~aphc~ data on s~ey. :ATE oF ~w YO~) )~Y OF ~me of indi~d~ sing * berg dffiy sworn, d~oses ~d says ~t (s)he is ~e applic~t contact) above ~, ,He is the ¢~~¢ (Conmetor, Agmt, Co.orate Office, ~e.) said o~er or o~s, ~d is d~y auto.ed to p~o~ or have peffom~ the s~d work ~d to ~e ~d file ~s application; t all statemmts conta~ed ~ tbs a~heafion ~e ~e to ~e best ofhs ~owledge ~d belie~ ~d that the work will be foxed ~ ~e ~ s~ fo~ ~ ~e a~cation filed ~e~. om to before me thi~ /~ day^°f l X- LYNDA M. BOHN NOTARY' PUBLIC, State of New York No, 01 BO6020932 Qualified In Suffolk County Term Expires March 8, 20~ I